MCCALLUM MEDICAL PA (NPI# 1275065146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275065146 |
| Entity Type | Organization |
| Organization Name | MCCALLUM MEDICAL PA |
| Practice Address |
1923 N Tyler St Little Rock AR 72207 |
| Mailing Address |
Po Box 1731 Gilbert AZ 95299 |
| Practice Telephone | 5016269478 |
| Mailing Telephone | 5016269478 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | GARY BRIAN MCCALLUM (PRINCIPAL) |
| Authorized Official Telephone | 5016269478 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
E-3712 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1923 N TYLER ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| 1336266055 | Eric Baskins | Counselor | 5509 Forest Place, Suite 100, Little Rock, AR 72207 | 2007-03-26 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811921588 | Arkansas Hyperbaric Associates | Emergency Medicine | 2 St Vincent Cir, Little Rock, AR 72205 | 2006-07-10 |
| 1427684075 | Saline Investment Group Inc | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2020-03-16 |
| 1417216474 | Wound Care Consultants of Little Rock, Pllc | Emergency Medicine | 106 S Rodney Parham Rd, Little Rock, AR 72205-4708 | 2012-05-11 |
| 1194053074 | Earl Feurtado, Md, Pllc | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2009-12-03 |
| 1073738035 | George R Hutchison, Md,pa | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2007-04-16 |
| 1659596633 | Loretta Depalo, M.d, P.a. | Emergency Medicine | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891926796 | Advanced Wound Care & Hyperbarics, Pa | Emergency Medicine | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2009-07-27 |
| 1316188774 | Arkansas Health Group | Emergency Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2009-03-16 |
| 1104041292 | Robert A. Council, Jr., Md, Pa | Emergency Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2007-04-16 |
| 1831274810 | Robert A. Council | Emergency Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2006-10-26 |
| 1427146174 | Craig Wrigley Pickren | Emergency Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2006-10-10 |
| 1083644959 | Gary Wayne Villines | Emergency Medicine | 24 Norris St, Emer Dept, Eureka Springs, AR 72632-3541 | 2006-07-04 |
| 1982688800 | Byron Kevin Beaver | Emergency Medicine | 3333 Springhill Dr, Suite 2002, North Little Rock, AR 72117-2922 | 2005-12-05 |
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on MCCALLUM MEDICAL PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.